- UNC Health (Chapel Hill, NC)
- … Program requirements. Must be able to understand, demonstrate, and teach professional compliance , billing and coding compliance to others. Ability to ... we serve.Summary:Responsible for assisting Compliance management in all compliance activities which could include reviewing internal processes, documents… more
- Atlantic Health System (Morristown, NJ)
- …new providers throughout the year + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares ... office staff, providers, and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6 months… more
- Dayton Children's Hospital (Dayton, OH)
- …comply with these regulations, thereby minimizing the risk of non- compliance . The Internal Coding Auditor must have a thorough understanding of ... Facility:Work From Home - OhioDepartment:Payer Enrollment AdministrationSchedule:Full timeHours:40Job Details:The Internal Coding Auditor plays a pivotal… more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and ... for medical coding . Works closely with the Compliance Officer and Compliance coding ...and reports coding audits based on the Internal Audit and Compliance Work Plan including… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
- HCA Healthcare (Caldwell, ID)
- …**Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews ... recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a...Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC… more
- Humana (Boise, ID)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- MedKoder (Mandeville, LA)
- …payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding /auditing ... Full-time, 40 hour work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding … more
- CVS Health (IN)
- …to appropriate departments and management. + Conducts process audits to ensure compliance with internal policies and procedures and existing CMS regulations. ... and documentation requirements. + Conducts process audits to ensure compliance with internal policies and procedures as...the office and/or facility setting. + Thorough knowledge of coding guidelines and regulations to meet compliance … more
- Highmark Health (Nashville, TN)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... require Inpatient (AHIMA) credentials._** **GENERAL OVERVIEW:** Performs all related internal , concurrent, prospective and retrospective coding audit activities.… more
- CenterWell (Denver, CO)
- …a part of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical records and ... codes (eg, ICD-10-CM, CPT) to patient records. The **Medical Coding Auditor ** work assignments are varied and...the medical record audit + Responds to or clarifies internal requests for information + Supports and participates in… more
- Nuvance Health (Danbury, CT)
- …by Outpatient Coding team for accuracy. 4.Work closely with the Compliance department on audits, reporting, complaint coding issues etc. 5.Research CMS ... practices/policies/guidelines to help keep Nuvance physician practices current with coding and regulatory requirements and accepted compliance practices.… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... coding guidelines. **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding /DRG requests. Responds promptly to Business… more
- UNC Health Care (Chapel Hill, NC)
- …processes. Ability to interpret federal and state regulations as they relate to coding and compliance . Must possess strong communication skills, both written and ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
- Queen's Health System (Honolulu, HI)
- …I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for conducting internal audits of coding and documentation to ensure compliance with coding guidelines ... LICENSURE: * Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P) required. * Certification as Medical … more
- Cognizant (Nashville, TN)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer...minimum accuracy rate of at least 98% while meeting internal productivity standards set by company + Maintain productivity… more
- Virtua Health (Mount Laurel, NJ)
- …CPT, ICD-10-CM, and HCPCS codes for Virtua Medical Group clinicians and coding department. This includes performing internal audits, overseeing external audits, ... from being processed appropriately. Responsible for developing, implementing and maintaining compliance plan for pro-fee coding and abstracting. Position… more
- Northwell Health (Westbury, NY)
- …reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and ... BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Job Responsibility 1.Leverages clinical… more
- CVS Health (Oklahoma City, OK)
- …healthcare providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as ... policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and...and directives. + Conducts self- process audits to ensure compliance with internal policies and procedures as… more
- Centene Corporation (Cheyenne, WY)
- …response to observed deficiencies + Research state specific regulations and evaluate internal processes and/or controls to identify non- compliance issues and ... **ed States. AMISYS experience highly preferred.** **Position Purpose:** Audit medical record coding to ensure high dollar claims are processed appropriately and to… more
